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Organization
CHARLES CS CHAN MD INC
Active
Organization
CHARLES CS CHAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CHAN MD (OWNER)
(626) 288-8590
Entity
Organization
Contact information
Practice address
500 N GARFIELD AVE, #310, MONTEREY PARK, CA 91754
(626) 288-8590
(626) 288-8616
Mailing address
500 N GARFIELD AVE, #310, MONTEREY PARK, CA 91754
(626) 288-8590
(626) 288-8616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A29783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A297830
—
CA
Enumeration date
09/11/2006
Last updated
08/22/2020
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